Organization Active NPI

Daniel J. Solomon, MD Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Rafael, CA
National Provider Identifier
1023243359
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A54759 Issued in CA
Legal business name
DANIEL J. SOLOMON, MD INC
Practice address
4000 Civic Center Dr
Suite 205
San Rafael, CA 94903-4171
Phone
(415) 492-1600
Fax
(415) 492-1688
NPI assigned
May 15, 2009
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Jordan Solomon, MD
Title
President
Phone
(619) 876-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A54759 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr
Suite 205
San Rafael, CA 94903-4171

Mailing address

4000 Civic Center Dr
Suite 205
San Rafael, CA 94903-4171
Phone (415) 492-1600

National Provider Directory

National Provider Directory

Locations

7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1023243359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "SUITE 205",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-492-1600",
            "fax_number": "415-492-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "SUITE 205",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034171",
            "telephone_number": "415-492-1600",
            "fax_number": "415-492-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL J. SOLOMON, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-876-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A54759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.